We Must Do Better
July 16, 2012
Everybody is expressing opinions about the US Supreme Court’s various written opinions regarding the Patient Protection and Affordable Care Act of 2010.
However, my mind goes back to the heated debate the previous year, to a passage about this topic in a July 13, 2009 Businessweek column co-authored by Benjamin E. Sasse, US Secretary of Health and Human Services from 2007 until taking a teaching position at the University of Texas in Austin in 2009, and Kerry N. Weems, an independent consultant who previously served 28 years in federal government, most recently as the head of Medicare and Medicaid.
Sasse and Weems wrote: “. . . passionate certainty that things are broken is not the same as dispassionate clarity about how to fix them.” They were critical of people on both sides of the health care debate who were “still campaigning on the issue when what’s needed is a detailed conversation.”
What bothered Sasse and Weems on July 13, 2009, seven months into President Obama’s first term, has only gotten worse on July 13, 2012, four months prior to the next election. Many are campaigning – on health care, as well as the economy, the environment, education and every other pressing issue of our times and our children’s times – but few are truly leading on those issues.
Borrowing from the title of Bill Bradley’s latest book, which he borrowed from Abraham Lincoln’s second inaugural address, "we can all do better." In fact, we not only can, we must. It’s a matter of will more than it is of wisdom.
Concussion Story
March 22, 2016
“The national narrative is not our story.” That’s been the mindset of the Michigan High School Athletic Association on many sports issues; and it’s never been more necessary than now, on the topic of concussions.
Hollywood’s December release of the movie “Concussion” and revelation after revelation of diseased NFL veterans tend to condemn professional football. But, in spite of its bad press, the NFL product roars on, setting records for its reach and revenue. Apparently the NFL is “too big to fail,” so critics of football attack an easier target – amateur, and especially, youth football. Other critics call for an end to football but swallow their whistle regarding boxing and even more barbaric ultimate fighting.
In sharp contrast, we hope, to the hypocrisy of the national narrative is the story of school sports in Michigan. We cannot speak for levels above or below us, but school-sponsored football has never been safer, for obvious reasons – the equipment has never been more protective; coaches have never received more health and safety training; playing rules have never been more safety-oriented; and officials have never had more authority to penalize unsafe play.
But in our story, football is not the only topic. Our health and safety narrative addresses all sports and both genders; and the 2015-16 school year provides three significant examples.
Mandated Concussion Reports – The MHSAA required for the first time this year that member high schools report possible concussions by their student-athletes. This is in all sports, both practice and competition, for both girls and boys. While reports are tentative for winter sports and it’s very early in the spring sports season, it is likely that in each case it will be a girls sport that has the most concussions, underscoring that school sports must be concerned about concussions in all sports and both genders.
Sideline Concussion Detection – The MHSAA last fall became the first state association to offer pilot sideline concussion testing, with 62 schools taking part in one of two programs. Among the objectives of the pilot programs was to increase awareness of concussions and improve sideline detection; and preliminary results indicate that the average number of possible concussions reported by pilot schools exceeds the average reported by schools outside the pilot group.
Concussion Care Insurance – The MHSAA also is the first state association to provide all participants at every member high school and junior high/middle school with insurance intended to pay accident medical expense benefits – covering deductibles and co-pays left unpaid by other policies – resulting from head injuries sustained during school practices or competitions. This coverage is at no cost to either schools or families.
While the insurance program will produce additional data about the frequency and severity of head injuries, the principal purpose of this initiative is to assure that families with no insurance, or insurance with high deductibles or co-pays, will not delay in seeking prompt, professional medical attention if their child shows signs of concussion after a practice or competition.
Again, this insurance is for all sports, both practice and competition, for both boys and girls; and it’s for all MHSAA member schools, grades 7 through 12. It will apply to the 6th grade for those school districts which join the MHSAA at the 6th-grade level, which is possible for the first time in 2016-17.